Inspiratory Muscle Training Does Not Improve Clinical Outcomes in 3-week COPD Rehabilitation

Inspiratory Muscle Training Does Not Improve Clinical Outcomes in 3-week COPD Rehabilitation

The value of inspiratory muscle training (IMT) in pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) is unclear. The RIMTCORE (Routine Inspiratory Muscle Training within COPD Rehabilitation) randomised... read more

Training Approaches for the Deployment of a Mechanical Chest Compression Device

Training Approaches for the Deployment of a Mechanical Chest Compression Device

Pit-crew training, compared with standard training, did not improve team deployment of a mechanical chest device in a simulated cardiac arrest scenario. Twenty teams participated in this study, each comprising three clinicians.... read more

Critical Care Nursing in Resource-Limited Environments

Critical Care Nursing in Resource-Limited Environments

Critical Care Nursing in resource-limited environments is an emerging sub-speciality, currently centred on regions within sub-Saharan Africa and South-East Asia. The World Federation of Critical Care Nurses (WFCCN) continues... read more

Critical Care Echocardiography: A Certification Pathway for Advanced Users

Critical Care Echocardiography: A Certification Pathway for Advanced Users

Though the details are still being finalized, the critical care NBE pathway will bear many similarities to the current certification process for cardiologists and cardiac anesthesiologists. In particular, the critical care... read more

More Than a Tick Box: Medical Checklist Development, Design, and Use

More Than a Tick Box: Medical Checklist Development, Design, and Use

Despite improving patient safety in some perioperative settings, some checklists are not living up to their potential and complaints of "checklist fatigue" and outright rejection of checklists are growing. Problems reported... read more

I survived sepsis eight times. But can care workers spot this deadly illness?

I survived sepsis eight times. But can care workers spot this deadly illness?

Care staff are increasingly likely to see sepsis, but there is no standard training to make them aware of the symptoms to look out for in clients. There is a golden hour for the treatment of sepsis, when someone can be saved... read more

Chart Reviews In Emergency Medicine Research: Where Are The Methods?

Chart Reviews In Emergency Medicine Research: Where Are The Methods?

Medical chart reviews are often used in emergency medicine research. However, the reliability of data abstracted by chart reviews is seldom examined critically. The objective of this investigation was to determine the proportion... read more

Social Determinants of Health: A Missing Link in Emergency Medicine Training

Social Determinants of Health: A Missing Link in Emergency Medicine Training

The health of a population depends upon several factors, including disease, public health initiatives, and the social determinants of health (SDH). These factors often converge in the emergency department (ED) where the impact... read more

Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care

Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care

Surgical trainees and trainees without previous PC rotation had significantly less awareness of PC. Overall, trainees perceived PC as beneficial to patients and capable of reducing costs while increasing survival; they also... read more

Burnout and Stress Among US Surgery Residents

Burnout and Stress Among US Surgery Residents

Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout... read more

Prevention of Hospital Infections by Intervention and Training (PROHIBIT)

Prevention of Hospital Infections by Intervention and Training (PROHIBIT)

Results of a pan-European cluster-randomized multicentre study to reduce central venous catheter-related bloodstream infections. This study demonstrates that multimodal prevention strategies aiming at improving CVC insertion... read more

How Bacteria May Help Regulate Blood Pressure

How Bacteria May Help Regulate Blood Pressure

While bacteria once had negative connotations, scientists are now saying it could be good for you. Smell receptors in kidneys sniff out signals from gut bacteria for cues to moderate blood pressure. Some years ago, when Jennifer... read more

Ethics in the NICU: Principles, Methods, and Application

Dr. Mark Mercurio gives a basic review of some of the fundamental principles and approaches relevant to decision-making in the NICU. Adequate fellowship training in ethics and professionalism is essential so that neonatologists... read more

Heuristic Thinking in the Emergency Department

Heuristic Thinking in the Emergency Department

This paper explores the use of heuristics among highly-trained physicians diagnosing heart disease in the emergency department, a common task with life-or-death consequences. Using data from a large private-payer claims database,... read more